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everetl APPLICATION FOR RIGHT�JF-WAY USE PERMIT <br /> e �058� <br /> CITY ENGINEERS <br /> EVEReTT, WASHINGTON PERMIT N0. 7� - 7- c- � <br /> ��i TheUndersigned Sn0 - / S �!- �n.nrriii� i fu a� o � fj�y�,� <br /> � Hereby applies for permission ro �o ns1'� � � r f � �n � /� � - /� �/w n <br /> r ��! � R - � - 1/�/ <br /> ' At the following location �3 �j ,. 4 � � I <br /> SKETCH ' � <br /> � (Work to be done) <br /> I <br /> � I <br /> � L VL RL 1 T .��il= � <br /> i v <br /> �'� � � 5/w. Gur6 c GuU¢i:_ � � i� <br /> I I o I <br /> C� Se_..,rr Alf 'A_ A;prox. <br /> ' 29'_ i ___ _ _ - - iND. nf % , <br /> I q i <br /> �L � � 3 F/� <br /> > " ?_ rJ3 <br /> Q , - ' <br /> . i lil ' OUY e;; <br /> y I <br /> i �� _ Iw __-_._ <br /> L�1 r, ^ �l Q ; <br /> � I � �' / c.c=. � . <br /> � • D • , j <br /> O i.a a � <br /> i I p_ — <br /> f <br /> l �� C.0 <br /> � <br /> , 9d — '�� ��, <br /> _ �/� <br /> � �� Sewtrr Alf -8•-- "i" �� <br /> , �n'p_ <br /> A � IEy ��,,,�d.) ; <br /> • � � <br /> � <br /> I � I i <br /> '�I I D f ��w n IJ y PIL �. <br /> ' DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> �, NO SCALE ��' ���3��� save harm�ess the City of Everett from any and all <br /> � � 3� ------� F�� claims fordamages that may arise because of installa� <br /> i i i" LIP ��� tion and maintenance of the improvement hereto � <br /> �. 30" f ;p I appiied for and further agrees to remove same upon <br /> '� �-�- --------- �'t'--�"f notice from the Ciry and to replace public p erty <br /> i damage� gby. ' _ ��� . <br /> � " ,h �v ' <br /> , �gnature of qppli�n . � <br /> ��i /� y,i -�o � <br /> COPY OP THIS APPLICATION TO l Address J <br /> BE POSTED ON JOBSI7E � � .�-� _ � � � <br /> � CALL ENGINEERING DEPL 259�8811 I �T lephone Num r � <br /> 24 HOURS pEFORE CONSTR�CTIOfd� Ca[e �� <br /> CHFCK LIST 1 i Fee '��S oo �' � ! 7 '>G <br /> Water Valve U=a'�cl. �."r �v""^'.. n "'���rrS � <br /> Drainage �tcrd u i'� fi' Sf�Pr� ��f�� �pt. Approvals <br /> � Curb&Gutter �� / � , -L- / .,, <br /> � Sidewalk b r y --�R-R� Engineers . <br /> Watcri��Y�V�++ �cr 2e/-SC � /��$� <br /> Street � ���� <br /> Communications '—'� ���'' <br /> Inspector's Signature - . <br /> � Traffic - �� �-l _ / _ <br /> Planning � ` � <br /> at-6 e ' � �. 7�• <br /> je4'a�• , y, so� <br /> Remarks <br /> Note: Original to Customer <br /> 7 CopY [o File 10 5�3 <br /> i Copy to !nspecror Approved by <br /> Date Approved <br />